1St Annual 5K Walk/Run

St. Marys, Ohio “DOOR PRIZES” Must be present to claim prize “DOOR PRIZES” Sunday June 18, 2017 5K Run/ FunWalk Begins at 8:30 am Blessing of the Runners/Walkers 8:15 Race Day Registration and Check In: 7:30- 8:15 a.m. Registration tent located at the corner of South St and Pine St. St. Marys, OH

Pre-Registration: $10.00 with no shirt $25.00 with shirt Pre-Registration must be received June 14, 2017. Last day for Pre Shirt Orders June 9, 2017.

Race Day Registration: $15.00 with no shirt; $30.00 w/shirt (while supplies last)

Groups: 9 yrs and under, 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 and over

Awards: Top 3 overall Male and Female Remaining Top 3 in each age group Male and Female

Facilities: Holy Rosary Church Festival Grounds. Mail form and check to: Attention: Holy Rosary 5K, 511 E. Spring St. St. Marys, OH 45885 ------Detach and mail with Check payable to Holy Rosary 5K Last Name: ______First Name______Address: ______City: ______State: ___Zip: ______Phone: (____)______Email: ______Age (as of June 18, 2017) ______Sex: M or F Please circle one: ADULT YOUTH Amount Paid $______Please circle shirt size: S M L XL 2XL In consideration of the acceptance of my entry, I the undersigned, intending to be legally bound, do hereby for myself, my heirs, executors and administrators, waive and release forever any and all claims or damages I might accrue against City of St. Marys, Holy Rosary Parish, Festival committee, race directors, volunteers, and sponsors for any and all injuries suffered by me while traveling to and from and while participating in the Holy Rosary Parish Festival 5K Walk/Run on June 18, 2017. X______Signature of Runner or Parental Consent required if under 18 years of age. “DOOR PRIZES” Must be present to claim prize “DOOR PRIZES”